Provider Demographics
NPI:1982679155
Name:SEYMANN, ROGER B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:B
Last Name:SEYMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2545 W FRYE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6273
Mailing Address - Country:US
Mailing Address - Phone:480-505-4258
Mailing Address - Fax:480-275-8346
Practice Address - Street 1:6301 S MCCLINTOCK DR
Practice Address - Street 2:SUITE 215
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3392
Practice Address - Country:US
Practice Address - Phone:480-820-6657
Practice Address - Fax:480-730-0803
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-11-18
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Provider Licenses
StateLicense IDTaxonomies
AZ6571207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ251223Medicaid
AZZ143488Medicare PIN